You can use this relation to estimate [Fe/H] from [M/H] of a star. From [M/H] you can get the (Z/X) ratio.

$$[\mathrm{Fe}/\mathrm{H}] = \log_{10} \left[\frac{f_\mathrm{Fe}(\alpha)}{f_\mathrm{Fe}(0)} \frac{m_z(0)}{m_z(\alpha)} \left(\frac{Z}{X}\right)_\ast \left(\frac{X}{Z}\right)_\odot \right]$$

You can use this relation to estimate [Fe/H] from [M/H] of a star. From [M/H] you can get the (Z/X) ratio.